Healthcare Provider Details

I. General information

NPI: 1447353073
Provider Name (Legal Business Name): JANET CLARE VENUS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 05/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 BERKMAR CIRCLE
CHARLOTTESVILLE VA
22901
US

IV. Provider business mailing address

1017 GLENDALE ROAD
CHARLOTTESVILLE VA
22901-4047
US

V. Phone/Fax

Practice location:
  • Phone: 434-284-3478
  • Fax: 434-978-0118
Mailing address:
  • Phone: 434-284-3478
  • Fax: 434-978-0118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberNR68453
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810006113
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberS103433
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: